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Home My WebLink AboutPermit Electrical 2010-7-21 SPRINGFielD' ~.., j^,~^~ . -"c"'f, ,""'- "~0 ,~ .';0:./-:- < >'\ OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ,",-. . "" '~.,."".'. WP,E:OFWORK ~-""'-,jc~i _:_~~~T ,. 0 L . , -'C _'I 0 New Construction IX] Addilion/alteratio~/replacement ,'; 0 'CATEGORY'OF CONSTRUCTION . I . , .. ! . 00 1 or 2 family dwelling 0 Multi-family 0 Commercial o Accessory .. h,r "JOS'SITEINFORMATIONANotOCA TlON -, '. I , " Job Address: 515 53RD ST City/State/ZIP: SPRINGFiElD, OR 97478 Sulte/bldgJapt.no.: Project Name: Carrothers Cross Street/directions to job site: 52nd (L) onto G (R) onto 53rd Tax map/parcel no.: 1702332400165 ",., . :Yf,> .., . ,,;..; ,"QEscki"RTIQN"OF.W,O;:lK .~c-t"'..:; ,; , :1 j" -,~ ;.~;, 1< "J.., Ductless ,. .~), , . -,. SITE'CONTACT,'; " "',,"': .> !! .. C - Name: Jason Carrothers '.. ~--~.. Phone: " Fax: Email: f . CONTRACTOR, .. . , ... .. .. -. Elec lie. no.: 20-537C CCB lie. no.: 162191 Business Name: GMD ELECTRIC INC --, Contact: --. -._~ - - Address: PO BOX 72206 .--- '''.~''''-' " City/State/ZIP: EUGENE, OR 974010291 .-, Phone: 541-741-7369 Fax: 541-988-1800 Emall: gmdelectriC@comcast.net Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 4874S Supervising Electrician's Name: MICHAEL K GOWINS ." Number of Inspections included in paid services:. Residential Service: 4 ,_.. ..- , - "r'-t" Reconnect Only: 1 -....~ All Other Services: 2 ... " Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work Qxpires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. (J!{) 'Q70 Residential Electrical Authorization To Begin Work 69600-BEL-10-00339 Approval Code: 068175 7/21/2010 3:05 pm E-mailedTo:gmd@gmdelectric.com , ':., " .- '. . c,," PLAN'REVIEW " .~ j Please check all that apply: D Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other o Floating buildings o Fire pumps D Commercial-use agricultural buildings o Emergency systems o Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A", "E", or "1..2" or "1.3" o Six or more residential units in o Recreational Vehicle Parks one structure o Health care facilities D Supply vortage for more than 600 supply volts nominal ;"':;;":' >'.,r- ". F,EE'SCHED.ULE, , :-".' .. -"", , ." ,Description QIy, I Ea, I Total !?r.a.~~ti circuits_~~ - .' '" ' . .~";' . ',"/':,', . -. ....., Branch circuits without service or 1 $55.00 $55,00 feeder Branch circuits each additional 1 $6,00 $6.00 circuit without service Ele;ctrical P.e:rmit.Fees , ., . . Subtotal , $61.00 State surcharge (12% of permit $7,32 total) Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71,37 "~ ~~~ l\. \b (}: ':\Y ~~ &~fJ {\ fl,~~ ~~ Inspections P-hone: .541': 726-3769 This Authorization To Begin Work'must be'posted at the job site until replaced by a Permit ecm1o/0 -o:JCfZO /7~ 7-;;)/--7D Status ,Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00970 ISSUED: 07/22/2010 APPLIED: 07/21/2010 EXPIRES: 01/2212011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 515 53RD ST ASSESSOR'S PARCEL NO.: 1702332400165 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Ductless "..n...;. Owuer: Address: GAC ACQUISITIONS LLC 32300 BUSH GARDEN DR HARRISBURG OR 97446 I CONTRACTOR INFORMATION . Contractor Type Electrical Contractor License GMD ELECTRIC INC 162191 BUILDING INFORMATION I Expiration Date 11/19/2010 Phone 541-726-8601 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type 'Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMA nON . FronIyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 'Ow'rlafDist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer ~llii!ibmON: Oregon law requires yot! '0 ' Special Instrutql(r~Y rules adopted by the 01 egon l!U!'lv, Notification Center. Those rules ale set forih In OAR 952-001-0010 through OAR 952'00 I.' 0090,. You may obtain copies of the rules by . ,,",(;":' : \. ",rr ..il~., I.' ~1' Sidewalk Type: DownspoutslOrains: Notes: OT\Cf: lHE WORK number for th"e Or~go~ Uiility ~~i~il~ D . f I PE lIED UNDER THIS PERMI OR Center is 1-800-332-2. escn III , ,OR OR IS ABANDONED F S ,ltQ~'llIi1ENCED Type of Construction $ Per Sq Ft oqruBMI"m'PIl\1l.'hAY PERI~~lue Date Calculated o or multiplier t1f'!\l' 1',R,'ittIJ Description ..~.~)f I_~~, ~ :'. ...,-$~'!;~.x.'.til;;.i,j~."", t, .," 1. Paee I of 2 "nv(<'\ ;~,\:.""fJl~ . ftf;~ lJ ~, .~.t7~1.:' 1,: ,~.Q.t: '. Status Issued tc CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00970 ISSUED: 07/22/2010 APPLIED: 07/21/2010 EXPIRES: 01/22/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ."!..Jo' Total Value of Project IJees Paid I $7.32';;: , ",'-,:.:::,...,1..,t,:;,,': ,- $3.05ill:J!"""',,,~,~ '~;'_:~ 1" ... . Date Paid I '7/22/10 , 7/22/10 7/22/10 7/22/10 Rece,ipt Number 3201000000000000465 3201000000000000465 3201000000000000465 3201000000000000465 Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $55.00 i~ , $6.00U':t ":,,,,,"E ., "r"''':'";.' Total Amount Paid $71.37 I Plan Reviews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following "'~" <"." work day. Reau'ired InsDections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully;ex~mined .the completed application and do hereby certify that all information hereon is true and correct, and I furth.;;:';;;rtif;: th~i ~ny and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the L~ws,of the,Stite of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strucfllr.~'';;itho~i'pe'rmission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card islocated at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature ...., ~ , Date ., .r ,~{ \ '., ,....., ." ,.ru._. Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-'726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000465 Date: 07/22/2010 7:00:34AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM20] 0-00970 COM20 I 0-00970 COM20 I 0-00970 COM20 I 0-00970 Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS , Amount Paid njm ONLINE . gmd elect Online Payment Total: $71.3 7 $71.37 . ... ~? _.. cReceint\ Rage 1 .0f.1, '.-' ."'" ... -'l" 7/22/20 I 0